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AYANAACADEMYby Dr Vijaya Dwarampudi
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೨೧. ಶೂಕರೋಗಚಿಕಿತ್ಸಿತಮ್

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Adhikarana ೧ (೧-೨) · Śloka ೨

ಅಥಾತಃ ಶೂಕದೋಷಚಿಕಿತ್ಸಿತಂ ವ್ಯಾಖ್ಯಾಸ್ಯಾಮಃ ||೧|| ಯಥೋವಾಚ ಭಗವಾನ್ ಧನ್ವನ್ತರಿಃ ||೨||

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अथातः शूकदोषचिकित्सितं व्याख्यास्यामः ||१|| यथोवाच भगवान् धन्वन्तरिः ||२||

Meaning of the śloka

Now the treatment of disorders caused by śūka will be explained, as taught by the revered Dhanvantari.

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ಶೂಕಾದಿದೋಷಚಿಕಿತ್ಸಿತಮಿತಿ ಜ್ಞೇಯಮ್, ಆದಿಶಬ್ದಸ್ಯ ಲುಪ್ತತ್ವಾತ್; ತತ್ರಾದಿಶಬ್ದೇನ ನಿದಾನೋಕ್ತಾ ಅಭಿಘಾತನಿಮಿತ್ತಾ ದುರ್ಭಗನಿಮಿತ್ತಾಶ್ಚಾತ್ರ ಜ್ಞಾತವ್ಯಾಃ||೧-೨||

Meaning of the commentary

The commentary says that the chapter title should be understood as ‘treatment of disorders caused by śūka and other causes,’ because a word meaning ‘and others’ has been omitted. This implied expression includes the disorders described in the diagnostic section as arising from injury and from durbhaga-related causes.

Key terms

śūkadoṣa
The class of disorders whose treatment is introduced in this chapter.
abhighātanimitta
Arising from injury, included by the commentary under the omitted ‘other’ causes.
durbhāganimitta
A source category named by the commentary whose precise contextual sense requires specialist confirmation.
Dhanvantari
The authoritative teacher to whom the instruction is attributed.

Adhikarana ೨ (೩) · Śloka ೩

ಸಂಲಿಖ್ಯ ಸರ್ಷಪೀಂ ಸಮ್ಯಕ್ ಕಷಾಯೈರವಚೂರ್ಣಯೇತ್ | ಕಷಾಯೇಷ್ವೇವ ತೈಲಂ ಚ ಕುರ್ವೀತ ವ್ರಣರೋಪಣಮ್ ||೩||

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संलिख्य सर्षपीं सम्यक् कषायैरवचूर्णयेत् | कषायेष्वेव तैलं च कुर्वीत व्रणरोपणम् ||३||

Meaning of the śloka

After properly scraping the sarṣapī lesion, it should be dusted with astringent medicinal powders. A wound-healing oil should also be prepared from those same astringent substances.

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ಸಂಲಿಖ್ಯೇತ್ಯಾದಿ| ಕಷಾಯೈರಿತಿ ಕಷಾಯವೃಕ್ಷಚೂರ್ಣೈರವಚೂರ್ಣಯೇತ್, ಕಷಾಯವೃಕ್ಷೈರ್ಮಿಶ್ರಕೋಕ್ತಶೋಧನಕಷಾಯಸಾಧನದ್ರವ್ಯೈಶ್ಚೂರ್ಣೀಕೃತೈರವಚೂರ್ಣಯೇದಿತ್ಯರ್ಥಃ| ತೇಷು ರೋಪಣಕಷಾಯಸಾಧನದ್ರವ್ಯೇಷು ಪಾದಿಕೇಷು ಜಲಂ ಚತುರ್ಗುಣಂ ದತ್ತ್ವಾ ರೋಪಣಂ ತೈಲಂ ಕುರ್ಯಾತ್||೩||

Meaning of the commentary

The commentary explains that the dusting powders are made from astringent trees, specifically the cleansing-decoction ingredients stated in the Miśraka section after they have been powdered. For the healing oil, the wound-healing decoction ingredients are used in one-quarter proportion and cooked with four times as much water.

Key terms

sarṣapī
The named lesion treated in this passage.
saṃlikhya
Having scraped or scarified the lesion.
kaṣāya
Astringent medicinal substances, understood here as powdered trees and as ingredients for the oil.
vraṇaropaṇa taila
An oil intended to promote healing of the wound.

Adhikarana ೩ (೪) · Śloka ೪

ಅಷ್ಠೀಲಿಕಾಂ ಜಲೌಕೋಭಿರ್ಗ್ರಾಹಯೇಚ್ಚ ಪುನಃ ಪುನಃ | ತಥಾ ಚಾನುಪಶಾಮ್ಯನ್ತೀಂ ಕಫಗ್ರನ್ಥಿವದುದ್ಧರೇತ್ ||೪||

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अष्ठीलिकां जलौकोभिर्ग्राहयेच्च पुनः पुनः | तथा चानुपशाम्यन्तीं कफग्रन्थिवदुद्धरेत् ||४||

Meaning of the śloka

For aṣṭhīlikā, leeches should be applied repeatedly. If the condition still does not subside, it should be removed in the manner prescribed for a kapha-granthi.

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ಅಷ್ಠೀಲಿಕಾಮಿತ್ಯಾದಿ| ಕಫಗ್ರನ್ಥೇರಿವ ಶಸ್ತ್ರೇಣೋದ್ಧರಣಮ್||೪||

Meaning of the commentary

The commentary specifies that removal is performed with a surgical instrument, just as for a kapha-granthi.

Key terms

aṣṭhīlikā
The named firm lesion treated in this passage.
jalaukā
A leech, used here for repeated blood removal.
kapha-granthi
A kapha-associated nodular swelling whose method of removal supplies the comparison.
śastra
A surgical instrument used for the stated removal.

Adhikarana ೪ (೫-೬) · Śloka ೬

ಸ್ವೇದಯೇದ್ಗ್ರಥಿತಂ ಶಶ್ವನ್ನಾಡೀಸ್ವೇದೇನ ಬುದ್ಧಿಮಾನ್ | ಸುಖೋಷ್ಣೈರುಪನಾಹೈಶ್ಚ ಸುಸ್ನಿಗ್ಧೈರುಪನಾಹಯೇತ್ ||೫|| ಕುಮ್ಭೀಕಾಂ ಪಾಕಮಾಪನ್ನಾಂ ಭಿನ್ದ್ಯಾಚ್ಛುದ್ಧಾಂ ತು ರೋಪಯೇತ್ | ತೈಲೇನ ತ್ರಿಫಲಾಲೋಧ್ರತಿನ್ದುಕಾಮ್ರಾತಕೇನ ತು ||೬||

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स्वेदयेद्ग्रथितं शश्वन्नाडीस्वेदेन बुद्धिमान् | सुखोष्णैरुपनाहैश्च सुस्निग्धैरुपनाहयेत् ||५|| कुम्भीकां पाकमापन्नां भिन्द्याच्छुद्धां तु रोपयेत् | तैलेन त्रिफलालोध्रतिन्दुकाम्रातकेन तु ||६||

Meaning of the śloka

A grathita lesion should be fomented regularly with tubular steam and covered with comfortably warm, well-oiled poultices. When a kumbhīkā lesion has reached suppuration, it should be opened; after it has been cleansed, healing should be promoted with oil prepared from triphalā, lodhra, tinduka, and āmrātaka.

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ಸ್ವೇದಯೇದಿತ್ಯಾದಿ| ಶಶ್ವತ್ ಪ್ರತಿದಿನಮ್| ಸುಸ್ನಿಗ್ಧೈರಿತ್ಯುಪನಾಹವಿಶೇಷಣಮ್| ತೈಲೇನ ತ್ರಿಫಲಾದಿಕಲ್ಕಪಾದೇನ ಜಲಚತುರ್ಗುಣಸಿದ್ಧೇನ ರೋಪಯೇತ್||೫-೬||

Meaning of the commentary

The commentary explains śaśvat as ‘every day’ and states that ‘well-oiled’ qualifies the poultices. It further says that the healing oil is cooked with a paste of triphalā and the other named ingredients in one-quarter proportion and with four times as much water.

Key terms

grathita
The named indurated or knotted lesion for which fomentation and poulticing are described.
nāḍīsveda
Fomentation in which heat or steam is conveyed through a tube.
upanāha
A warm, unctuous poultice or bandaged application.
kumbhīkā
The named lesion that is opened after reaching the suppurative stage.
vraṇaropaṇa
Promotion of wound healing after cleansing.

Adhikarana ೫ (೭) · Śloka ೭

ಗ್ರಾಹಯಿತ್ವಾ ಜಲೌಕೋಭಿರಲಜೀಂ ಸೇಚಯೇತ್ತತಃ | ಕಷಾಯೈಸ್ತೇಷು ಸಿದ್ಧಂ ಚ ತೈಲಂ ರೋಪಣಮಿಷ್ಯತೇ ||೭||

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ग्राहयित्वा जलौकोभिरलजीं सेचयेत्ततः | कषायैस्तेषु सिद्धं च तैलं रोपणमिष्यते ||७||

Meaning of the śloka

After applying leeches to alajī, the affected area should be irrigated. Oil prepared with decoctions of astringent trees is regarded as promoting healing.

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ಗ್ರಾಹಯಿತ್ವೇತ್ಯಾದಿ| ಕಷಾಯೈಃ ಕಷಾಯವೃಕ್ಷಕಷಾಯೈಃ, ಕಷಾಯವೃಕ್ಷಾಃ ಪ್ಲಕ್ಷಾದಯಃ||೭||

Meaning of the commentary

The commentary explains that the word kaṣāya refers here to decoctions of astringent trees, including plakṣa and others.

Key terms

alajī
The classical disorder treated in this passage.
jalaukā
A leech used for bloodletting in the described historical treatment.
kaṣāyavṛkṣa
Astringent trees, such as plakṣa, whose decoctions are used to prepare the oil.
ropaṇa
Promoting the healing of the affected tissue.

Adhikarana ೬ (೮) · Śloka ೮

ಬಲಾತೈಲೇನ ಕೋಷ್ಣೇನ ಮೃದಿತಂ ಪರಿಷೇಚಯೇತ್ | ಮಧುರೈಃ ಸರ್ಪಿಷಾ ಸ್ನಿಗ್ಧೈಃ ಸುಖೋಷ್ಣೈರುಪನಾಹಯೇತ್ ||೮||

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बलातैलेन कोष्णेन मृदितं परिषेचयेत् | मधुरैः सर्पिषा स्निग्धैः सुखोष्णैरुपनाहयेत् ||८||

Meaning of the śloka

The affected area, after gentle manipulation, should be irrigated with lukewarm balā oil. It should then be covered with a comfortably warm, unctuous poultice made with substances of the madhura group and ghee.

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ಬಲೇತ್ಯಾದಿ| ಮಧುರಾಣಿ ಕಾಕೋಲ್ಯಾದೀನಿ||೮||

Meaning of the commentary

The commentary identifies the madhura substances as kākolī and the other drugs of that group. It provides no further explanation of the procedure.

Key terms

balātaila
Oil prepared with balā, used here for lukewarm irrigation.
mṛdita
Gently pressed or manipulated before irrigation.
madhura
The sweet-category substances, explained by the commentary as kākolī and related drugs.
upanāha
A warm, unctuous poultice applied externally.

Adhikarana ೭ (೯) · Śloka ೯

ಸಮ್ಮೂಢಪಿಡಕಾಂ ಕ್ಷಿಪ್ರಂ ಜಲೌಕೋಭಿರುಪಾಚರೇತ್ | ಭಿತ್ತ್ವಾ ಪರ್ಯಾಗತಾಂ ಚಾಪಿ ಲೇಪಯೇತ್ ಕ್ಷೌದ್ರಸರ್ಪಿಷಾ ||೯||

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सम्मूढपिडकां क्षिप्रं जलौकोभिरुपाचरेत् | भित्त्वा पर्यागतां चापि लेपयेत् क्षौद्रसर्पिषा ||९||

Meaning of the śloka

Sammūḍhapiḍakā should promptly be treated with leeches. When the swelling has matured, it is opened and then dressed with honey and ghee.

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ಸಮ್ಮೂಢೇತ್ಯಾದಿ| ಪರ್ಯಾಗತಾ ಪಕ್ವಾ||೯||

Meaning of the commentary

The commentary explains paryāgatā as pakvā, meaning that the lesion has matured or reached the stage of suppuration.

Key terms

sammūḍhapiḍakā
The classical localized swelling or eruption addressed here.
jalaukā
A leech used for bloodletting in the historical regimen.
paryāgatā
A lesion that has matured; the commentary glosses it as pakvā.
kṣaudrasarpis
Honey and ghee used together as a topical dressing.

Adhikarana ೮ (೧೦-೧೨) · Śloka ೧೨

ಅವಮನ್ಥೇ ಗತೇ ಪಾಕಂ ಭಿನ್ನೇ ತೈಲಂ ವಿಧೀಯತೇ | ಧವಾಶ್ವಕರ್ಣಪತ್ತಙ್ಗಸಲ್ಲಕೀತಿನ್ದುಕೀಕೃತಮ್ ||೧೦|| ಕ್ರಿಯಾಂ ಪುಷ್ಕರಿಕಾಯಾಂ ತು ಶೀತಾಂ ಸರ್ವಾಂ ಪ್ರಯೋಜಯೇತ್ | ಜಲೌಕೋಭಿರ್ಹರೇಚ್ಚಾಸೃಕ್ ಸರ್ಪಿಷಾ ಚಾವಸೇಚಯೇತ್ ||೧೧|| ಸ್ಪರ್ಶಹಾನ್ಯಾಂ ಹರೇದ್ರಕ್ತಂ ಪ್ರದಿಹ್ಯಾನ್ಮಧುರೈರಪಿ | ಕ್ಷೀರೇಕ್ಷುರಸಸರ್ಪಿರ್ಭಿಃ ಸೇಚಯೇಚ್ಚ ಸುಶೀತಲೈಃ ||೧೨||

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अवमन्थे गते पाकं भिन्ने तैलं विधीयते | धवाश्वकर्णपत्तङ्गसल्लकीतिन्दुकीकृतम् ||१०|| क्रियां पुष्करिकायां तु शीतां सर्वां प्रयोजयेत् | जलौकोभिर्हरेच्चासृक् सर्पिषा चावसेचयेत् ||११|| स्पर्शहान्यां हरेद्रक्तं प्रदिह्यान्मधुरैरपि | क्षीरेक्षुरससर्पिर्भिः सेचयेच्च सुशीतलैः ||१२||

Meaning of the śloka

When avamantha has suppurated and has been opened, oil prepared with dhava, aśvakarṇa, pattaṅga, sallakī, and tindukī is prescribed. In puṣkarikā, all treatment should be cooling: blood is removed with leeches and the area is irrigated with ghee. In loss of sensation, bloodletting is performed, a paste of madhura substances is applied, and very cool milk, sugarcane juice, and ghee are used for irrigation.

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ಅವಮನ್ಥೇತ್ಯಾದಿ| ಅಶ್ವಕರ್ಣಃ ಪೂರ್ವದೇಶೇ ‘ಗನ್ಧಮುಣ್ಡ’ ಇತಿ ಖ್ಯಾತೋಽಶ್ವತ್ಥಸದೃಶಃ| ಪತ್ತಙ್ಗಂ ರಕ್ತಚನ್ದನಮ್||೧೦-೧೨||

Meaning of the commentary

The commentary identifies aśvakarṇa as a tree known in the eastern region as gandhamuṇḍa and resembling aśvattha. It identifies pattaṅga as red sandalwood. It does not further explain the disease names or the remaining measures in verses 10–12.

Key terms

avamantha
A classical disorder treated here after suppuration and opening.
puṣkarikā
A classical condition for which cooling measures and leech bloodletting are prescribed.
sparśahāni
Loss or impairment of tactile sensation in the affected area.
aśvakarṇa
A named tree described by the commentary as gandhamuṇḍa in the eastern region and as resembling aśvattha.
pattaṅga
A substance identified by the commentary as red sandalwood.

Adhikarana ೯ (೧೩) · Śloka ೧೩

ಪಿಡಕಾಮುತ್ತಮಾಖ್ಯಾಂ ಚ ಬಡಿಶೇನೋದ್ಧರೇದ್ಭಿಷಕ್ | ಉದ್ಧೃತ್ಯ ಮಧುಸಂಯುಕ್ತೈಃ ಕಷಾಯೈರವಚೂರ್ಣಯೇತ್ ||೧೩||

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पिडकामुत्तमाख्यां च बडिशेनोद्धरेद्भिषक् | उद्धृत्य मधुसंयुक्तैः कषायैरवचूर्णयेत् ||१३||

Meaning of the śloka

The physician should remove the lesion called uttamā with a hook. After removing it, the site should be dusted with medicinal powders combined with honey.

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ಪಿಡಕಾಮಿತ್ಯಾದಿ| ಕಷಾಯೈಃ ಚೂರ್ಣೈರಿತ್ಯರ್ಥಃ| ಶೋಧನಕಾಲೇ ತು ಶೋಧನದ್ರವ್ಯೈಶ್ಚೂರ್ಣೀಕೃತೈರವಚೂರ್ಣಯೇತ್, ರೋಪಣಕಾಲೇ ತು ರೋಪಣೈರೇವ||೧೩||

Meaning of the commentary

The commentary explains that kaṣāya here means powdered medicinal substances. During the cleansing (śodhana) stage, powders made from cleansing substances should be sprinkled; during the healing (ropaṇa) stage, substances intended for healing should be used instead.

Key terms

uttamā piḍakā
The named lesion addressed in this passage.
baḍiśa
A hook described as the instrument for removing the lesion.
śodhana
The cleansing stage of wound management in the commentary.
ropaṇa
The healing stage for which healing substances are selected.

Adhikarana ೧೦ (೧೪) · Śloka ೧೫

ರಸಕ್ರಿಯಾ ವಿಧಾತವ್ಯಾ ಲಿಖಿತೇ ಶತಪೋನಕೇ | ಪೃಥಕ್ಪರ್ಣ್ಯಾದಿಸಿದ್ಧಂ ಚ ದೇಯಂ ತೈಲಮನನ್ತರಮ್ ||೧೪|| ಕ್ರಿಯಾಂ ಕುರ್ಯಾದ್ಭಿಷಕ್ ಪ್ರಾಜ್ಞಸ್ತ್ವಕ್ಪಾಕಸ್ಯ ವಿಸರ್ಪವತ್ |೧೫|

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रसक्रिया विधातव्या लिखिते शतपोनके | पृथक्पर्ण्यादिसिद्धं च देयं तैलमनन्तरम् ||१४|| क्रियां कुर्याद्भिषक् प्राज्ञस्त्वक्पाकस्य विसर्पवत् |१५|

Meaning of the śloka

After the śataponaka lesion has been scraped, a rasakriyā preparation should be applied. Oil prepared with the group beginning with pṛthakparṇī should then be given. A knowledgeable physician should manage tvakpāka in the manner described for visarpa.

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ರಸಕ್ರಿಯೇತ್ಯಾದಿ| ರಸಕ್ರಿಯಾ ಫಾಣಿತಾಕೃತಿಃ, ಶೋಧನಕಾಲೇ ಶೋಧನದ್ರವ್ಯಕಷಾಯಕೃತಾ, ರೋಪಣಕಾಲೇ ರೋಪಣದ್ರವ್ಯಕಷಾಯಕೃತಾ| ಪೃಥಕ್ಪರ್ಣ್ಯಾದಿಸಿದ್ಧಂ ತೈಲಂ ಸಾಮಾನ್ಯಸ್ನೇಹಪರಿಭಾಷಾಕಲ್ಪೇನ; ಪೃಥಕ್ಪರ್ಣ್ಯಾದೀನಿ ಮಿಶ್ರಕೇ ರೋಪಣಘೃತಪಠಿತಾನಿ ಕಾಕೋಲ್ಯಾದಿವರ್ಜಿತಾನಿ| ವಿಸರ್ಪವತ್ ಪಿತ್ತವಿಸರ್ಪವದಿತ್ಯರ್ಥಃ||೧೪||-

Meaning of the commentary

The commentary defines rasakriyā as a preparation with the consistency of phāṇita. In the cleansing stage it is made from a decoction of cleansing substances, and in the healing stage from a decoction of healing substances. The oil with pṛthakparṇī and related substances is to be prepared according to the general method for medicated oils. The relevant pṛthakparṇī group is the one listed for the healing ghee in the Miśraka section, excluding the kākolī group. ‘As for visarpa’ is explained specifically as treatment following that for pittaja visarpa. The supplied commentary ends abruptly after the verse reference.

Key terms

śataponaka
The named lesion that the verse describes as having been scraped.
rasakriyā
A concentrated preparation described by the commentary as having a phāṇita-like consistency.
pṛthakparṇī
The first-named substance in the group used to prepare the medicated oil.
tvakpāka
A named disorder whose management is compared here with that of pittaja visarpa.
visarpa
The classical disease category used as the treatment comparison; the commentary specifies its pittaja form.

Adhikarana ೧೧ (೧೫-೧೮) · Śloka ೧೮

ರಕ್ತವಿದ್ರಧಿವಚ್ಚಾಪಿ ಕ್ರಿಯಾ ಶೋಣಿತಜೇಽರ್ಬುದೇ ||೧೫|| ಕಷಾಯಕಲ್ಕಸರ್ಪೀಂಷಿ ತೈಲಂ ಚೂರ್ಣಂ ರಸಕ್ರಿಯಾಮ್ | ಶೋಧನಂ ರೋಪಣಂ ಚೈವ ವೀಕ್ಷ್ಯ ವೀಕ್ಷ್ಯಾವಚಾರಯೇತ್ ||೧೬|| ಹಿತಂ ಚ ಸರ್ಪಿಷಃ ಪಾನಂ ಪಥ್ಯಂ ಚಾಪಿ ವಿರೇಚನಮ್ | ಹಿತಃ ಶೋಣಿತಮೋಕ್ಷಶ್ಚ ಯಚ್ಚಾಪಿ ಲಘು ಭೋಜನಮ್ ||೧೭|| ಅರ್ಬುದಂ ಮಾಂಸಪಾಕಂ ಚ ವಿದ್ರಧಿಂ ತಿಲಕಾಲಕಮ್ | ಪ್ರತ್ಯಾಖ್ಯಾಯ ಪ್ರಕುರ್ವೀತ ಭಿಷಕ್ ಸಮ್ಯಕ್ ಪ್ರತಿಕ್ರಿಯಾಮ್ ||೧೮||

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रक्तविद्रधिवच्चापि क्रिया शोणितजेऽर्बुदे ||१५|| कषायकल्कसर्पींषि तैलं चूर्णं रसक्रियाम् | शोधनं रोपणं चैव वीक्ष्य वीक्ष्यावचारयेत् ||१६|| हितं च सर्पिषः पानं पथ्यं चापि विरेचनम् | हितः शोणितमोक्षश्च यच्चापि लघु भोजनम् ||१७|| अर्बुदं मांसपाकं च विद्रधिं तिलकालकम् | प्रत्याख्याय प्रकुर्वीत भिषक् सम्यक् प्रतिक्रियाम् ||१८||

Meaning of the śloka

A blood-origin arbuda should also be managed in the manner described for a blood-origin vidradhi. Decoctions, pastes, ghee preparations, oils, powders, and rasakriyā, together with cleansing and healing measures, should be employed only after repeatedly assessing the condition. Drinking ghee, suitable purgation, bloodletting, and light food are also said to be beneficial. For arbuda, māṃsapāka, vidradhi, and tilakālaka, the physician should first give a guarded prognosis and then undertake the appropriate treatment carefully.

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ರಕ್ತೇತ್ಯಾದಿ| ಶೋಣಿತಜೇ ಅರ್ಬುದೇ ಲಿಙ್ಗಜೇ ರಕ್ತಾರ್ಬುದೇ| ವೀಕ್ಷ್ಯ ವೀಕ್ಷ್ಯೇತಿ ದ್ವಿವ್ರಣೀಯೋಕ್ತಾಮವಸ್ಥಾಂ ಸಮ್ಯಕ್ ನಿರೂಪ್ಯೇತ್ಯರ್ಥಃ| ಅವಚಾರಯೇತ್ ಕಷಾಯಾದೀನೀತ್ಯರ್ಥಃ||೧೫-೧೮||

Meaning of the commentary

The commentary identifies the blood-origin arbuda here as the raktārbuda occurring in the genital organ. The repeated expression ‘after assessing’ means that the physician should correctly determine the wound stage described in the Dvivraṇīya section. ‘Should employ’ refers to the decoctions and the other measures listed in the verse.

Key terms

śoṇitaja arbuda
A blood-origin arbuda; the commentary specifies raktārbuda of the genital organ.
vidradhi
A named swelling or lesion whose blood-origin treatment is used as the comparison.
śodhana
Cleansing measures selected according to the assessed stage of the lesion.
ropaṇa
Healing measures selected according to the assessed stage of the lesion.
pratyākhyāya
Giving a guarded or unfavorable prognosis before undertaking treatment.
tilakālaka
One of the named serious conditions for which the verse requires prognostic caution.

Adhikarana ಪುಷ್ಪಿಕಾ · Śloka ೨೧

ಇತಿ ಸುಶ್ರುತಸಂಹಿತಾಯಾಂ ಚಿಕಿತ್ಸಾಸ್ಥಾನೇ ಶೂಕರೋಗಚಿಕಿತ್ಸಿತಂ ನಾಮೈಕವಿಂಶೋಽಧ್ಯಾಯಃ ||೨೧||

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इति सुश्रुतसंहितायां चिकित्सास्थाने शूकरोगचिकित्सितं नामैकविंशोऽध्यायः ||२१||

Meaning of the śloka

Thus ends the twenty-first chapter of the Cikitsāsthāna in the Suśruta Saṃhitā, entitled ‘Treatment of Śūkaroga.’

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ಇತಿ ಶ್ರೀಡಲ್ಹ(ಹ್ಲ)ಣವಿರಚಿತಾಯಾಂ ನಿಬನ್ಧಸಙ್ಗ್ರಹಾಖ್ಯಾಯಾಂ ಸುಶ್ರುತವ್ಯಾಖ್ಯಾಯಾಂ ಚಿಕಿತ್ಸಾಸ್ಥಾನೇ ಏಕವಿಂಶತಿತಮೋಽಧ್ಯಾಯಃ||೨೧||

Meaning of the commentary

Thus ends the twenty-first chapter of the Cikitsāsthāna in Dalhaṇa’s commentary on Suśruta called the Nibandhasaṅgraha. The supplied source records a spelling variant in Dalhaṇa’s name as ‘Dalha(hla)ṇa.’

Key terms

Cikitsāsthāna
The section of the Suśruta Saṃhitā devoted to treatment.
Śūkarogacikitsita
The chapter title, meaning the treatment of Śūkaroga.
Nibandhasaṅgraha
The title of Dalhaṇa’s commentary on the Suśruta Saṃhitā.
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